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1275195497
GARY TYRONE BISHOP
LAGRANGE, GA
NPI
1275195497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN015909)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
Dr. GARY TYRONE BISHOP DMD
313 MOOTY BRIDGE RD STE 202
LAGRANGE, GA 30240-1809
Phone number: 706-837-0123
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Mailing Address
Dr. GARY TYRONE BISHOP DMD
140 N DAVIS RD APT 922
LAGRANGE, GA 30241-1616
Phone number: 706-839-8499
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